Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Iadna Sarscov2 & Inf a&B & Rsv Mult Amp Probe
San Angelo, TX
See all hospitals reporting CPT 87637 →Price type
Shannon River Crest Hospital’s median price of $614 is 284% above the median hospital's median price ($160), higher than 98% of the 2,353 hospitals reporting CPT 87637. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina managed medicaid facility · other · outpatient | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Cigna ppo facility · case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 4 | Ambetter ppo facility · case rate · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 5 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
| 6 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $731 | $731 | — | — | 24 | $731 – $731 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 8 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 9 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | 191 | $830 – $830 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $830 | $830 | — | — | — | $830 – $830 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $863 | $863 | — | — | — | $863 – $863 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $863 | $863 | — | — | 22 | $863 – $863 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $886 | $886 | — | — | — | $886 – $886 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $886 | $886 | — | — | — | $886 – $886 |
Last updated: Dec 8, 2025
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